Occiput posterior (OP) malpresentation occurs 15-25% at term and 5-12% at birth, increases risk of surgical birth, and frequency coincides with category II or III FHR patterns. In an effort to reduce cesarean births, non-invasive and invasive rotational measures may…
This collection of courses is available to American Academy of Ophthalmology (AAO) members only. AAO Online Courses cover a range of clinical topics. Courses cover the basic of anatomy and physiology and then follow the natural clinical process from histopathology…
Physicians are trained to be autonomous in thoughts and deeds. But health care is collaborative, requiring skills as a team member and as a team leader. Highly reliable care involves understanding how each individual makes mistakes, how we can be…
Experts say some conflict is healthy, and they’re right. When not managed well, however, conflict can become disruptive and lead to medical errors, poor patient satisfaction, increased cost and higher turnover. Learn the skills you need to make conflict productive….
Mutual caring between clinician and patient only thrives within the mutually understood boundaries of a professional relationship. Occasionally, unexamined feelings or misinterpreted communications by patient or clinician lead to incursions beyond those boundaries, and such incursions always threaten the relationship….
Clinician rates of impairment from substance abuse and from psychiatric and physical disability are at least as high as the general population. As a clinician, you owe allegiance to both your colleagues and to a professional standard of ethics and…
In this module, we explore typical reactions to disruptions, terminations and transfers of care as well as communication strategies that have proven effective in managing such separations. Diplomate Engagement Self-assessment questions tailored to each specific module topic are required upon…
Unexpected death, any major complication or any error produces very strong emotions high reactivity. Clinicians need support setting up and conducting conversations about tragic outcomes. In conversations regarding “major” complications or clear errors, emotions and disappointment are stronger, particularly the…
Communicating news about a diagnosis of life-threatening illness, discussing prognosis, eliciting patients’ goals, translating goals into interventions, providing psychosocial support and saying goodbye are critically important interventions for all clinicians. Often, specialists such as oncologists, cardiologists, pulmonologists, and others provide…
This module describes a six step process for giving bad news and discusses special circumstances that commonly arise in the communication of bad news. These circumstances include discussing prognosis, discussing conflict between what the provider and the family think the…
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